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Keywords

diabetic heel ulcer, endovascular therapy, maggot therapy, negative-pressure wound therapy, partial calcanectomy, peripheral arterial disease

 

Authors

  1. Matsuzaki, Kyoichi MD, PhD
  2. Miyamoto, Akira MD, PhD

Abstract

ABSTRACT: A large diabetic heel ulcer with peripheral arterial disease is an independent predictor of limb loss; below-knee amputation is not uncommon in such cases. One treatment is multimodal therapy, which includes partial calcanectomy. Because there is a limit to the ulcer surface area that can be sutured after partial calcanectomy, the remaining raw surface is treated with another method. In this case report, the authors describe a patient with peripheral arterial disease who had a 7 x 9-cm diabetic heel ulcer. The patient was treated with partial calcanectomy after catheter-based endovascular therapy revascularization and then maggot therapy after residual-wound dimensions were reduced by negative-pressure wound therapy.